How do you get a doctor ? Cramps - 4 weeks pregnant

[Cuppppatea]

Hi everyone hope you’re ok.

I’m 4 weeks pregnant (shocking natural pregnancy after two bad rounds of IVF. 40 years old. First ever pregnancy.

For the past week I’ve had cramps and sore boobs but today a lot less of these symptoms… if feel worried when I’m cramping and worried when I’m not 😂 My boobs don’t feel very sore today.

Is that normal?

Another worry is that I’m sure I should be on aspirin or clexanne (previous baseline scans showed low blood flow to womb) but won’t get anywhere with the gp for sure.

How do you do about getting medical advice for this ? Sounds like it should be simple.

[Aquaharmony]

Congratulations! Symptoms definitely go up and down it is completely normal, but I know exactly what you mean as soon as they stop or start to lessen you worry. Then worry when they are back. Not sure how helpful GP would be although you should definitely book an appointment with one if you haven't already. If you are very worried you could consider making a private appointment with an OB-GYN for some early checks and to discuss this if you can afford this and your GP can't help. Assuming you are in the UK so don't think you would get a specialist appointment with NHS this early for a natural pregnancy. Congratulations again and hope all continues to go well 💜

[Kitkat10]

hi, you can still see a GP and just explain your worries. I went to mine in a total fluster because I thought my lines were fading in my tests (I was 4 weeks). The GP was great, listened to all my worries and sent me to the gynaecology asses unit for HCGs. They were fantastic at the hospital, really proactive.

Your first midwife appointment needs to be within the first 10 weeks I think and that’s when they prescribed aspirin for me and told me to start taking that at 12 weeks, if I remember correctly.

nhs.uk/pregnancy/finding-ou...

Once you make the first appointment, then you are on their radar and the care should follow.

Good luck x

[Fruitandflowers]

I understand how worried you will be and I also felt completely lost without the control of IVF and all the meds that come with it. I called my IVF clinic consultant and he was good enough to arrange a call with me and calm me down. He also said they could prescribe progesterone if I wanted but he didn't think I needed it. So worth trying your clinic. His view though was that natural pregnancies are generally fine as nature selected the strongest of everything. Also symptoms can come and go at this stage. If you're worried you can get HCGs done two days apart - they've always been reliable for me, good and bad outcomes. Your GP may do them or you can get them done privately (in person or online). Then the next step is a scan but normally private won't do them until 6 weeks and NHS/EPU often wont either and also without what they see a medical need (bleeding etc), but worth checking.

Re aspirin, my consultant wouldn't prescribe it but his rationale was that I didn't need it as I didn't have a blood clotting disorder and even if I did aspirin wasn't strong enough. But he was happy with me taking one a day, as was the antenatal team and doctors whenever I asked. But they also said there was no risk factor that warranted it, just that one a day wouldn't do any harm. It's best to check though (maybe with GP) as your medical circumstances may be different.

[hoping_for_our_time]

You could call your local Early Pregnancy Unit at nearest hospital and explain your history. x